The information comprises of the life styles, hypertension, cardiovascular diseases, and usage of medicine, weight and history of dieting, gynecologic history, psychological factors, and social background. Among all such factors the study revealed that the hypertension and the use of diuretics were crucial risk factors for hysterectomy which are found prevalent among the educated women and women having weight fluctuations. The study thus concluded that the history of hypertension, weight cycling, and absence or less of education are inextricably related to constitute the risk elements for pre-menopausal hysterectomy. Hypertension is regarded as a plausible biological factor of menorrhagia and a cause for hysterectomy. (Settnes; Jorgensen, 1998)
Not withstanding the clinical indications, the rate of hysterectomy varies in accordance with the personal or demographic characteristics of women. The studies, however, depicts inconsistency on the influence of the race, education, and socio-economic status of the patient on hysterectomy. Some of the studies…...
Osborn, M. F; Gath. DH (August, 1990) "Psychological and physical determinants of premenstrual symptoms before and after hysterectomy. Psychological Medicine. Vol: 20; No: 3; pp: 565-572
177).
I would like to discuss the complications resulting from this procedure as my mother has undergone this surgery and I have seen how a patient can suffer from numerous consequences. Hysterectomy can lead to many long-term complications which may include urinary problems, hormone imbalance, sexual issues, depression, adhesions and heart complications etc. For this reason, hysterectomy has often under attack. It is believed that this procedure is being performed far more commonly than needed and hence some critics are skeptic of the need to have this performed because in most cases, the problems are not very serious. "Many people question the fact that more than 650,000 hysterectomies are performed in the United States each year. Very few of these operations are performed because of a life-threatening situation, and it is likely that many of them are unnecessary. Per capita, half as many hysterectomies are performed in the Great Britain as…...
mla
References
Phyllis a. Balch. Prescription for Nutritional Healing, 4th Edition. Avery Trade; 4 edition (October 19, 2006)
Stanley West MD, Paula Dranov. The Hysterectomy Hoax: The Truth About Why Many Hysterectomies Are Unnecessary and How to Avoid Them, 3rd Edition. Next Decade, Inc.; 3rd edition (April 1, 2002)
Adelaide Haas. The Woman's Guide to Hysterectomy: Expectations and Options Celestial Arts; Revised edition (September 1, 2004)
technology has revolutionized society: communication, transportation, commerce, and especially medicine. . Ironically, for centuries and still in Oriental Medicine, healthcare was and is tailored to the individual. Even the Greek Physician Hippocrates wrote that he prescribed sweet elixirs to some and astringents to others depending on their individual condition (Pray, 2008). 21st century medicine, though, is more about an individual person's genetic code, and is made possible by advances in genetic technology and engineering. This is partially due to the Human Genome Project, a massive program completed in 2003 that focused on the identification of the individual genes that make up human DNA with the overall hope that it would initiate genomic medicine -- healthcare delivered based on the individual's medical history and genetic profile (About the Human Genome Project, 2011). Traditionally, medicine diagnoses human illnesses based on quantitative and qualitative signs and symptoms. With the advent of genetic…...
mla
References
About the Human Genome Project. (2011, September 19). Human Genome Management Information Systems. Retrieved from: / Human_Genome/project/about.shtmlhttp://www.ornl.gov/sci/techresources
1997].
Presence of regional and distant metastases alters the stage of the disease and for these patients, standard therapy is inadequate [KEYS et al. 2004]. With the diagnoses of endometrial adenocarcinoma it is most likely that the patient in question is at an early stage of disease. To have a better prognosis, further surgical diagnosis to achieve a FIGO stage is needed as that will allow doctors to ascertain the level of myometrial muscle invasion, histological type, and differentiation grade [AMANT et al. 2005]. If the patient is at a FIGO stage one, the five-year survival rate stands at 85%, with stage II standing at 75%, stage III at 45%, and stage IV at 25% [GRISBY et al. 1992]. Treatment should follow the established regimen of hysterectomy along with radiation therapy.
References
Amant, F. et al. 2005. Endometrial Cancer. ancet, 366, pp. 491-505.
Boulet, G.A.V., et al. 2008. Human Papillomavirus in Cervical Cancer…...
mla
Lazcano-Ponce, E. et al. 2008. Decreasing Cervical Cancer Mortality in Mexico: Effect of Papanicolaou Coverage, Birthrate, and the Importance of Diagnostic Validity of Cytology. Cancer Epidemiology, Biomarkers, and Prevention, 17(10), pp. 2808-17.
Leitao Jr., M.M. et al. 2009. Comparison of D&C and office endometrial biopsy accuracy in patients with FIGO grade I endometrial adenocarcinoma. Gynecologic Oncology, 113(1), pp. 105-8.
Rubatt, J.M. et al. 2005. Development of metastatic endometrial endometrioid adenocarcinoma while on progestin therapy for endometrial hyperplasia. Gynecologic Oncology, 99, pp. 472-6.
Cancer in the Uterus: Endometrial CancerCancer in the Uterus: Endometrial CancerIntroductionCancer comes about when some cells within the body grow out of control. Cancer starting in the uterus is referred to as uterine cancer. There are two categories of uterine cancer: endometrial cancer, the most common cancer of the uterus, and uterine sarcoma, a rare kind of uterine cancer found in the muscles of other uterine tissues. Every woman is at risk of uterine, provided they have a uterus. The risk, however, increases with age and is most common among women who have undergone or are going through menopause2.Endometrial CancerIt is the most common type, and it starts in the womb. This type of cancer starts forming in the layer of cells forming the uterine lining, also called the endometrium. Sometimes, endometrial cancer is called uterine cancer since its the most common. Often, it is detected at its early stages…...
mla
ReferencesAmant F, Moerman P, Neven P, Timmerman D, Van Limbergen E, Vergote I. Endometrial cancer. The Lancet. 2005 Aug 6; 366(9484):491-505.Arora V, Quinn MA. Endometrial cancer. Best Practice & Research Clinical Obstetrics & Gynaecology. 2012 Jun 1; 26(3):311-24.Burke WM, Orr J, Leitao M, Salom E, Gehrig P, Olawaiye AB, Brewer M, Boruta D, Herzog TJ, Shahin FA, SGO Clinical Practice Endometrial Cancer Working Group. Endometrial cancer: a review and current management strategies: part II. Gynaecologic oncology. 2014 Aug 1; 134(2):393-402.Modugno F, Ness RB, Chen C, Weiss NS. Inflammation and endometrial cancer: a hypothesis. Cancer Epidemiology and Prevention Biomarkers. 2005 Dec 1; 14(12):2840-7.Ryan AJ, Susil B, Jobling TW, Oehler MK. Endometrial cancer. Cell and tissue research. 2005 Oct; 322(1):53-61.
A newer and easy test is the OSOM Vlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by V pathogens (Mashburn).
pH Level
The most reliable criterion for detecting V is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out V. A pH >4.5 can also indicate trichomoniasis or muco-purulent cervicitis. Vaginal inflammation more strongly suggests trichomonas or muco-purulent cervicitis, in turn associated with gonorrhea or chlamydial trachomatis (Mashburn).
The patient's pH level is 6, indicating V.
Wet Smears
These are an inexpensive and relatively easy screening procedure for the most common sexually transmitted diseases, such as V (Iglesias, Alderman & Fox, 2000). The practitioner should be appropriately trained and experienced in using this procedure. Hence, the proper protocol and quality control are needed to insure accurate diagnosis. The wet smear is…...
mla
BIBLIOGRAPHY
Alfonsi, G.A.; Cshlay, J., and Parker, S. (2004). What is the best approach for managing
Recurrent bacterial vaginosis? Journal of Family Practice: Dowden Health Media,
Beatie did not accept biological determinism as the means by which to do gender. On the other hand, Beatie transcends gender altogether. By rejecting and then changing his genitalia and physique, Thomas Beatie passed through his life as a male and was legally and socially identified as such. He married a woman and most of the people he interacted with treated Beatie like they would any other man. When Beatie chose to become pregnant, he further stretched the boundaries between male and female. Beatie both subverts and ascribes to traditional gender roles and norms. Pregnancy is a female domain; had Beatie been born with male reproductive organs he would not have been able to experience childbirth. He and his wife would have been forced to adopt a child or choose a surrogate mother. Yet the fact that Beatie states, "I see myself as my own surrogate" shows that a…...
The fourth person I will see in heaven is Lisa. Lisa is the owner of my son's daycare. She is a vision of courage and strength because she recently discovered that she has cancer at the young age of 27. While this is devastating enough, she must face the fact that a hysterectomy lies in her future - a future without children which is something she wants so badly. Despite this news, she continues to live her life and if worse comes to worse, she will adopt. In addition to this strength, she also accepts people as they are. When I encountered difficulty finding a daycare that would accept a child with a cleft palate, Lisa had no problems with this at all. She had no experience but was willing to learn. My son started attending that daycare when he was 10 months old, now he is 3 years old,…...
Mouffak, Faycal; Gallarda, Thierry; aup, Nicolas; Olie, Jean-Pierre; and Krebs, Marie-Odile (2007) Gender Identity Disorders and ipolar Disorder Associated With the Ring Y Chromosome. American Journal Psychiatry 164:1122-1123 July 2007. Online available at http://ajp.psychiatryonline.org/cgi/content/full/164/7/1122#R1647CHDJECID
Childhood Gender-Identity Disorder Diagnosis Under Attack (2007) National Association for Research and Therapy of Homosexuality. NARTH. Leadership U. Online available at http://www.leaderu.com/orgs/narth/childhood.html
Osborne, Duncan (2003) Voices - Identity Crisis. OUT magazine. Los Angeles, April 2003. Liberation Publications, Inc. Online available at http://www.antijen.org/Out.html
Hepp U, Kraemer , Schnyder U, Miller N, Delsignore a: Psychiatric comorbidity in gender identity disorder. J Psychosom Res 2005; 58:259-261
Habermeyer E, Kamps I, Kawohl W: A case of bipolar psychosis and transsexualism. Psychopathology 2003; 36:168-170
Diagnosing and Treating Gender Identity in Women (1997) Medscape Psychiatry & Mental Health eJournal. 1997 Online available at http://www.medscape.com/viewarticle/430853_4
Mouffak, Faycal; Gallarda, Thierry; Baup, Nicolas; Olie, Jean-Pierre; and Krebs, Marie-Odile (2007) Gender Identity Disorders and Bipolar Disorder Associated With the Ring Y Chromosome. American Journal Psychiatry 164:1122-1123 July 2007. Online available at http://ajp.psychiatryonline.org/cgi/content/full/164/7/1122#R1647CHDJECID
Childhood Gender-Identity Disorder Diagnosis Under Attack (2007) National Association for Research and Therapy of Homosexuality. NARTH. Leadership U. Online available at http://www.leaderu.com/orgs/narth/childhood.html
Osborne, Duncan (2003) Voices - Identity Crisis. OUT magazine. Los Angeles, April 2003. Liberation Publications, Inc. Online available at http://www.antijen.org/Out.html
Hepp U, Kraemer B, Schnyder U, Miller N, Delsignore a: Psychiatric comorbidity in gender identity disorder. J Psychosom Res 2005; 58:259-261
Gail Godwin's "Dream Children" and Tobias Wolff's "The Liar" are both stories about escapism. In "Dream Children" a woman whose baby was stillborn and who may have had a hysterectomy because of it finds solace in out-of-body experiences and dreams. Her escapism is harmless, and yet it deeply disturbs her neighbor and worries her husband. Likewise, James's compulsive fibbing in "The Liar" is not intended to hurt anyone, but the behavior gravely disturbs his mother. James lies to create alternative realities, just like Mrs. McNair uses astral travel. The two short stories are told from different points-of-view: "The Liar" in first person and "Dream Children" in third. However, the tales share a considerable amount in common including characterization, resolution, and theme. Both Godwin and Wolff show how escapism is a natural human response to painful life situations.
Godwin and Wolff are both Southern writers; both were born in Alabama but later…...
mla
References
Godwin, G. "Dream Children." In American Short Story Masterpieces.
Wolff, T. "The Liar." In American Short Story Masterpieces.
Africans had poor health care in the 1950s
There is much that still remains swept under the proverbial carpet about America's treatment to its African immigrants. One of the chapters, little known and often left untold has only recently started to emerge and concerns American health care system and its using Blacks as guinea pigs.
Attorney and author Vernellia . Tandall tells the story in her book 'Dying While Black' showing how America's health care system was built on the bodies of African-American individuals from the 19th century continuing to present days. Some f the information is unbelievable at best shocking at worst such as her allegations that AIDS was created by a government-sanctioned health care for the purposes of medical advancement.
Countless stories from Black residents of both North and South tell about how they were unwillingly and unknowingly abducted and exploited for medical experiments. There were the 'night doctors' --…...
mla
References
Brooking Institute (2008) "Meeting the Dilemma of Health Care Access" (PDF). Opportunity 08: A Project of the Brookings Institution. Retrieved on 2/19/2011
Bereavement
The interest in palliative care, or counseling for bereavement comes to different people in different ways, and one doctor came into it through home care as long ago as 1975. The doctor had just finished working as a house staff in the University of California in San Francisco. Then he got a job at Massachusetts General Hospital as a physician. The doctor was placed at Chelsea Memorial health Center. This was a neighborhood health center in a poor multi-ethnic community, yet not a great distance away from MGH. The doctor had come to replace a person who had come from Britain for a working experience of a year in United States and had gone to the houses of a few elderly patients. In the beginning itself, it was suggested to the doctor by the senior that he visit two patients who were being cared by relatives at home. This was…...
This situation was extremely serious and could have resulted in the possible death of the patient (the documentation does not state that the patient died). Subsequently, Berstein's actions could have also resulted in substantial monetary woes for his employer, which is certainly at risk for a civil lawsuit due to the doctor's negligence. Yet the most deplorable aspect of this case is Berstein's attempts to dissemble the full magnitude of his inept work by falsifying documents that supported his dearth of proper treatment of the patient. It is also significant to mention the full scope of the punishment issued to Berstein, whose reinstatement "shall be limited to non-surgical specialty or administrative medicine" (Nolan, 2004).
This sort of unethical treatment on the part of a medical professional is exceedingly difficult to prevent given the large amounts of autonomy that surgeons have in practicing medicine. However, it is significant to note that the…...
Paxil
In the 35 years following its development, femoxetine, commonly known by its trade name "Paxil," has been the focus of a growing body of research based on its proven harmful effects, most especially an increased incidence of suicide. The fact that the drug's manufacturer concealed evidence of these harmful effects has added further fuel to the investigatory fires and new findings continue to confirm the harmful effects of Paxil today. To gain some current insights into Paxil's use and how it has affected consumers in recent years, this paper provides the history of the drug, representative evidence from the scientific community that confirms its several dangers, as well as the results of two face-to-face interviews with former Paxil users to identify specific points of convergence with the scientific research as well as differences. A summary of the research and important findings are provided in the conclusion.
eview and Analysis
Background and…...
mla
References
Breggin, P.T. (2006). "How Glaxosmithkline Suppressed Data on Paxil-induced Akathisia:
Implications for Suicidality and Violence." Ethical Human Psychology and Psychiatry,
8(2), pp. 91-93.
Choate, L.H. & Ginter, G.G. (2011). "Prenatal Depression: Best Practice Guidelines for Diagnosis and Treatment." Journal of Counseling and Development, 89(3), pp. 373-376.
CEO's Statement
A CEO who has elected to allow workers to make their own choices as to whether they want to do something dangerous as part of their work for the company is setting herself up for an entire host of problems. There are several reasons why it is not a good idea for the CEO to allow this kind of behavior, and the most compelling moral argument on the subject comes from utilitarianism (Cornman, et al., 1992). This particular type of moral theory states that the good of the masses is more significant and important than the good of the few (osen, 2003). In other words, people should not be allowed to have "free reign" to do what they please if that is going to harm others. In this case, one could argue that the workers would only be harming themselves, but that is not true. The chemical exposure they…...
mla
References
Cornman, J., et al. (1992). Philosophical problems and arguments - An introduction, 4th ed. Indianapolis, IN: Hackett Publishing Co.
Rosen, F. (2003). Classical utilitarianism from Hume to Mill. New York, NY: Routledge
Surgical site infections (SSIs) are a common complication following obstetrics and gynecological surgeries, leading to increased morbidity, mortality, and healthcare costs. Several factors have been identified that can affect the risk of developing SSIs in these patient populations. One of the key factors affecting SSIs in obstetrics and gynecological postoperative patients is the presence of comorbidities. Patients with underlying medical conditions such as diabetes, obesity, and immunosuppression are at a higher risk of developing SSIs due to impaired wound healing and increased susceptibility to infections (1). Surgical technique and perioperative practices also play a crucial role in preventing SSIs. Inadequate sterilization of....
Sign Up for Unlimited Study Help
Our semester plans gives you unlimited, unrestricted access to our entire library
of resources —writing tools, guides, example essays, tutorials, class notes, and more.
